Document Detail

Three-dimensional ultrasonographic diagnosis and hysteroscopic management of a viable cesarean scar ectopic pregnancy.
MedLine Citation:
PMID:  18001457     Owner:  NLM     Status:  MEDLINE    
Implantation of conception material within a cesarean section scar is an extremely rare form of ectopic pregnancy with devastating complications, such as uterine rupture and intractable bleeding. Both 2-D and 3-D transvaginal ultrasonographic devices are used adequately for precise diagnosis, but there is still a lack of consensus concerning management strategies. No therapeutic modality is suggested to be entirely efficacious and safe for preserving uterine integrity. We present here a 29-year-old woman with vaginal bleeding and a gestational sac with a viable embryo of 6 weeks of age that was implanted in a cesarean section scar. Serum beta-hCG levels were 16 792 mIU/mL. Following an unsuccessful treatment course of systemic methotrexate, the patient underwent operative hysteroscopy. Minimally invasive hysteroscopic resection of the ectopic gestational mass without major complication appears to be an alternative therapeutic approach with minimal morbidity and preservation of future fertility.
Sebiha Ozkan; Eray Calişkan; Semih Ozeren; Aydin Corakçi; Yiğit Cakiroğlu; Ebru Coşkun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  33     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  873-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, School of Medicine, Kocaeli University, Kocaeli, Turkey.
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MeSH Terms
Cesarean Section / adverse effects*
Cicatrix / etiology,  surgery*,  ultrasonography*
Imaging, Three-Dimensional
Pregnancy, Ectopic / etiology,  surgery*,  ultrasonography*
Treatment Outcome

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